<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<div class="form-group">	
								<label class="col-sm-3 control-label">用户编号：</label>
								<div class="col-sm-8">
									<input id="userId" name="userId" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">填表用户姓名：</label>
								<div class="col-sm-8">
									<input id="xm" name="xm" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">证件类型：</label>
								<div class="col-sm-8">
									<input id="idType" name="idType" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">证件号码：</label>
								<div class="col-sm-8">
									<input id="idNo" name="idNo" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">表单类型：</label>
								<div class="col-sm-8">
									<input id="formType" name="formType" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">联系电话：</label>
								<div class="col-sm-8">
									<input id="telephone" name="telephone" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">填表时间：</label>
								<div class="col-sm-8">
									<input id="formDate" name="formDate" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">预约业务办理时间：</label>
								<div class="col-sm-8">
									<input id="meetingDate" name="meetingDate" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">预约服务大厅编号：</label>
								<div class="col-sm-8">
									<input id="hallId" name="hallId" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">JSON格式的填表数据：</label>
								<div class="col-sm-8">
									<input id="data" name="data" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">录入人：</label>
								<div class="col-sm-8">
									<input id="uploadUser" name="uploadUser" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">录入时间：</label>
								<div class="col-sm-8">
									<input id="uploadDate" name="uploadDate" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">同步次数（外网->内网）：</label>
								<div class="col-sm-8">
									<input id="sync" name="sync" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">最后一次同步的时间：</label>
								<div class="col-sm-8">
									<input id="lastSync" name="lastSync" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/EntryAndExitManagement/tbForm/add.js">
	</script>
</body>
</html>
